Colonial Manor NH SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COLONIAL MANOR NH SNF LLC

Practice address

2035 Granbury St
Cleburne, TX 76033-7460

Phone

(817) 645-9134

NPI assigned

Oct 19, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Zevi Kohn

Title

Cfo

Phone

(917) 370-9063

Specialties & licenses 2

Addresses

Other names 1

• Colonial Manor Nursing Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1780910273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 E RANDOL MILL RD",
            "address_2": "STE 630",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760116315",
            "telephone_number": "817-607-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 GRANBURY ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337460",
            "telephone_number": "817-645-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL MANOR NH SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "KOHN",
        "authorized_official_first_name": "ZEVI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "917-370-9063"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Manor Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keeley Brooke Coker
• Alexandria J Cole, OTA
• Matthew C Cole, P.T., M.S.P.T.
• Paul Coleman, NP-C
• Lillian Collins, LCDC
• Colonial Manor Nursing Center-Cleburne, L.P.
• Julie Michelle Colwick, D.D.S., M.S.
• Compassionate Harmony Therapy
• Nathan Copeland, PT, DPT
• Priscilla E Corson, LCSW

• All providers in Cleburne, TX
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.